Early Detection And Preventative Methods Of Deep Vein Thrombosis In Postoperative Patients From A Total Joint Arthroplasty: A Review Of Nursing Literature

Abstract

Deep Vein Thrombosis is a serious complication following any extensive surgery such as a total joint arthroplasty (TJA) where the entire joint is replaced. An analysis of existing literature was evaluated to identify the most effective course of action in regard to medication, intervention, patient assessment, and effective education of both the patient and the care team. Through this review, it was determined that to provide the most comprehensive care aimed toward preventing DVT occurrence, it would be beneficial to determine which medication not only works the best but makes the most sense for the patient in regard to finances and side effects. Furthermore, ensuring that there are clear guidelines or policies provided by the institution for assessments of the patient both preoperative and postoperative to determine risk and or occurrence of signs and symptoms indicative of a developing thrombus. Such assessment would entail a comprehensive head-to-toe assessment, imaging, and blood tests to identify a baseline prior to surgery that can be compared to any results following. Finally, it was ascertained that providing the client with education and evaluating their understanding of their risk and concerning signs is crucial to the early detection of such a disorder. Equipping the care team with this knowledge and tools, it should help in the decrease of occurrence and or severity of DVT following a TJA due to early action and identification.